About the One Health Intellectual Exchange Series

This interdisciplinary course will introduce the concept of One Health as an increasingly important approach to a holistic understanding of the prevention of disease and the maintenance of both human and animal health. The list of topics will include a discussion of bidirectional impact of animal health on human health, the impact of earth’s changing ecology on health, issues of food and water security and preparedness, and the benefits of comparative medicine. Learning objectives include 1) to describe how different disciplines contribute to the practice of One Health, 2) to creatively design interdisciplinary interventions to improve Global Health using a One Health model, and 3) to interact with One Health-relevant professionals in the Triangle and beyond. The course aims to include students from Duke, UNC and NC State from diverse disciplines relevant to One Health, including: human medicine, veterinary medicine, environmental science, public health, global health, public policy, and others.

Sunday, January 23, 2011

An interesting article on engineering chickens in the fight against bird flu

http://www.time.com/time/health/article/0,8599,2042381,00.html


A Re-Engineered Chicken and the War On Bird Flu



Read more: http://www.time.com/time/health/article/0,8599,2042381,00.html#ixzz1Bt2K3LxY



Got a fever, headache, sore throat and all the other lovely symptoms of influenza? You can blame it on the birds. The main reservoir for influenza viruses is wild birds, which can pass those microbes to domestic poultry, which can come into contact, and potentially infect, human beings. That is what has happened with the deadly H5N1 avian flu virus, which has killed at least 306 people during the past seven years, not to mention hundreds of millions of chickens and other birds. International heath authorities have increasingly focused on that viral intersection between birds and humans, reasoning that if H5N1 can be controlled in poultry, it won't be able to threaten people. That's a tall order, though: by one count there are as many as 70 billion chickens around the world, many of them in backyard shacks in the developing world, and the shifty flu virus often evades vaccination.(See what you need to know about the H1N1 vaccine.)
But what if there were a way to breed poultry that are genetically resistant to H5N1 or any other avian flu virus, thus severing a major link in the flu's evolutionary chain? That's what a team of scientists in Britain tried to do recently, and they were remarkably successful. The result, reported in a study in the Jan. 13 issue of Science, is genetically engineered chickens that, while they're still vulnerable to H5N1, don't seem to pass on the disease to other poultry. That's exciting news for chicken farmers who are trying to protect their flocks from a deadly virus, but it could also open the door to genetically engineering disease resistance into a host of other animals. "Genetic modification could be more effective than vaccination," says Helen Sang, a geneticist at the Roslin Institute at the University of Edinburgh and a co-author of theScience paper. "You wouldn't need to change the way you tackle each disease."
First the scientists had to figure out a gene that could interfere with the replication of the avian flu virus. Lawrence Tiley, a molecular virologist at Cambridge University and the lead author of the paper, indentified a gene that could make birds produce a piece of RNA that acts as a decoy to polymerase, an enzyme that is vital for viral replication. Rather than binding with the virus' genome, polymerase attaches itself to the decoy gene, preventing the virus from being able to replicate itself and spread.(See TIME's special report "How to Live 100 Years.")
Using Sang's transgenic techniques, the team was able to insert the decoy gene into chick embryos. When the GM chickens were exposed to the avian flu, they were still infected, getting sick and eventually dying, but they didn't pass on that virus to other chickens in close proximity, both transgenic birds and normal ones. Normally, once a few chickens have been infected with H5N1, the virus burns like wildfire through a flock, often with near 100% mortality. But the transgenic chickens effectively acted as firewalls for avian flu, stopping the spread cold. "The transgenic birds that are infected are shedding virus that seems to be defective in some ways," Tiley told Science.(Comment on this story.)
While the ultimate goal would be to engineer poultry that are simply immune to the disease, the decoy target chosen by Tiley and his colleagues is a clever one. Flu viruses have eight gene segments, and polymerase has to bind to each of them during replication. To somehow evade the decoy, the flu virus would need to change parts of all eight gene segments. By comparison, a flu virus can evade a vaccine by changing just one gene, and since the flu mutates frequently, that's not hard to do. (Those genetic shifts in influenza are why we need a new vaccine every flu season.) Engineered correctly, a transgenic could be all but permanently protected from the flu, as would all their offspring, and they're otherwise normal. "You wouldn't be able to pick them out of a pen of chickens," says Sang.(See TIME's health and medicine covers.)
Sang notes that this is just a small proof of principle study. "Commercial success is a long way off," she says. Transgenic chickens would also need to be approved by regulators and accepted by consumers, no guarantee, given the resistance to GM crops in much of the world. But regulators are already beginning to look at some GM animals, including a transgenic salmon that is able to grow faster in fish farms, and a GM pig that produces much less polluting waste. If we can protect ourselves from the next flu pandemic by tweaking our birds, the benefits might be worth the Frankenstein factor.


Read more: http://www.time.com/time/health/article/0,8599,2042381,00.html#ixzz1Bt2E3qzj

Saturday, January 15, 2011

News article on the course from the Duke Global Health Institute

NEWS ARTICLE 

Course Explores Cross-section of Human, Animal and Environmental Health

In an effort to inform health policy and improve global health care training and delivery and respond to student demand, an innovative new course is being offered this spring by faculty at Duke, NC State and UNC-Chapel Hill. The interdisciplinary course will explore the interconnectedness of human, animal, and environmental health and is among the first of its kind in the United States.
The graduate-level course titled One Health (GLHLTH 371) will be taught by Duke associate professor of medicine and infectious diseases Chris Woods. It aims to be collaborative and participatory in nature, and it uniquely bridges disciplines and universities in the Triangle. The course is open to students from Duke, NC State and UNC-Chapel Hill who are enrolled in global health, public health, medicine, veterinary medicine or environmental programs.
“This course is really groundbreaking in that it brings together students from very different programs to learn about this exciting new approach to health. It will get students thinking about health in an entirely new way that encourages big-picture thinking and interdisciplinarity, and they will learn how to incorporate it into their professional lives,” said Meredith Barrett, a teaching assistant for the course and a Duke doctoral student studying ecology.
The course is based on an increasingly popular and, integrated approach to health called One Health, which is being adopted by many health organizations and policymakers. This cross-discipline philosophy gained national attention in the last four years with the joining of the American Veterinary Medical Association (AVMA), the American Medical Association (AMA) and many other organizations in creation of a national One Health Commission.
The One Health approach offers a more holistic understanding of prevention of disease and maintenance of health and also addresses sustainability challenges. Course topics will include the bi-directional impact of animal health on human health and the impact of earth’s changing ecology on health. Students will work to creatively design interdisciplinary interventions that improve global health using a One Health model.
The recent scholarly paper “Integrating a One Health approach in education to address global health and sustainability challenges” -  which was authored by Duke students from multiple disciplines -  identified the Triangle as one of the potential “Centers of One Health Excellence” and described opportunities for collaborative student programs, environmental training for health professionals and institutional support. 
The new One Health graduate course, which will include a weekly multi-campus seminar, also serves as the basis of the One Health Intellectual Exchange Group, an extension of the Triangle Global Health Consortium’s One Health Collaborative, created last summer. Woods is a member of the program’s steering committee.
Contact Meredith Barrett for more information about the course.

Check out our first sessions. For readings, see our library page!

The One Health Intellectual Exchange "Philosophy to Practical Integration of Human, Animal and Environmental Health", an IEG discussion series, is sponsored by the Triangle Global Health Consortium One Health Collaborative. It is designed to enhance collaborations between physicians, veterinarians, researchers and other local / global health professionals by increasing public awareness of the interconnectedness of people, animals and the environment.

Session 1, 2011: Introduction to the Concept of One Health: Initiative, History, Relevant Institutions, Goals

Panel Discussion led by Members of the TGHC One Health Collaborative Steering Committee:





Larry Glickman, VMD, DrPH, (UNC Chapel Hill)
Suzanne Kennedy Stoskopf, DVM, PhD (NC State University)
Barrett Slenning, DVM, MVPH (NC State University)
Cheryl StroudDVM, PhD, TGHC One Heath Collaborative Chair
Chris Woods, MD, MPH (Duke University)




Session 2, 2011 (Jan.18): Relevance of Global Environmental Change for Understanding Future Dynamics of Animal & Human Health with Dr. Jason West
Speaker: 
Dr. Jason West, Assistant Professor, Department of Environmental Science & Engineering, University of North Carolina
Objectives
  • Global Climate Change – Understanding the Problem.  I hope that students will gain a general understanding of the causes, impacts, and potential solutions to global climate change, emphasizing how scientific understanding of climate change was gained through history.
  • Impacts of Climate Change on Human Health.  As climate affects health through several different mechanisms, we will first identify those different mechanisms and explore how research is moving toward quantified impacts and plans for adaptation.
  • Some Current Research on Climate – Air Quality – Human Health Linkages.  I will show results of some research from my lab connecting climate, air quality, and health problems, and will use methane mitigation as an example of a possible “win-win”.

Welcome!

Welcome to the blog for the One Health Intellectual Exchange Series! We have an exciting line-up of people from medicine, veterinary medicine, public health, environmental science, environmental health, business, public policy and others joining us this semester from RTP and beyond.


Be sure to check out our pages at the Triangle Global Health Consortium's One Health Collaborative as well, where you can RSVP to attend our sessions.